疳热上攻眼疳成，痒涩赤烂胞肿疼，白睛生翳惭遮满，流泪羞明目不睁，
疏解泻肝散最妙，云翳清热退翳灵，日久不瘥当补养，逍遥泻肝二方从。
[注]
眼疳者，疳热上攻于眼，
故发时痒涩赤烂，眼胞肿疼，白睛生翳，渐渐遮满，不时流泪，羞明闭目也，
先用泻肝散疏解之，再用清热退翳汤消其翳，
若日久不瘥，法当调补逍遥散，或羊肝散主之。
(泻肝散) 生地黄 当归 赤芍 川芎 连翘去心 栀子生 龙胆草
大黄 羌活 甘草生 防风 引用灯心水煎服。
（方歌）
泻肝散治肝热壅，生地当归赤芍芎，连翘栀子龙胆草，大黄羌活草防风。
(清热退翳汤) 栀子微炒 胡黄连 木贼草 生地 羚羊角 龙胆草
银柴胡 蝉蜕 赤芍 甘草生 菊花 蒺藜 引用灯心水煎服。
(方歌)
清热退翳消云翳，栀连木贼芍生地，羚羊龙胆银柴胡，蝉蜕甘草菊蒺藜。
（
逍遥散）方见肝疳。
（羊肝散）青羊肝一具去筋膜切韭叶厚片 人参 羌活 白术土炒
蛤粉各等分 以上为细末，令匀听用，将药置荷叶上，如钱厚一层，
铺肝一层包固，外以新青布包裹蒸熟，任儿食之，
如不食者，及夏月恐腐坏，则晒干为末，早晚白汤调服，
服完再合，以好为度，若热者减人参。
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疳证门
疳积之热邪上攻于目，形成眼疳。发作时眼睑瘙痒、干涩，白睛红赤溃烂，胞睑肿胀疼痛；白睛表面生出翳膜，逐渐遮蔽瞳孔，导致流泪、畏光，眼睛无法睁开。
治疗此证，疏解泻肝散最为巧妙；若已有云翳，清热退翳汤疗效灵验。若病程日久不愈，则应当采用补养之法，可依次选用逍遥散或泻肝散两方进行治疗。
[注]
所谓眼疳，是指疳积的热邪上攻于眼部，因此发病时出现眼睑瘙痒、干涩、红赤溃烂，胞睑肿胀疼痛，白睛生翳并逐渐遮蔽视野，不时流泪，畏光闭目的症状。
初期应先用泻肝散进行疏解清泄，随后再用清热退翳汤消除翳膜。
如果日久病情未好转，治法应当调整为调理补益，使用逍遥散，或者以羊肝散为主方治疗。
(泻肝散) 组成：生地黄、当归、赤芍、川芎、连翘（去心）、栀子（生用）、龙胆草、大黄、羌活、甘草（生用）、防风。用法：引用灯心草为引，水煎服。
（方歌）
泻肝散主治肝热壅盛，药含生地、当归、赤芍、川芎，以及连翘、栀子、龙胆草，还有大黄、羌活、甘草和防风。
(清热退翳汤) 组成：栀子（微炒）、胡黄连、木贼草、生地、羚羊角、龙胆草、银柴胡、蝉蜕、赤芍、甘草（生用）、菊花、蒺藜。用法：引用灯心草为引，水煎服。
(方歌)
清热退翳汤用于消除云翳，药含栀连、木贼、芍药和生地，以及羚羊角、龙胆草、银柴胡，还有蝉蜕、甘草、菊花和蒺藜。
（羊肝散）组成：青羊肝一具（去除筋膜，切成韭菜叶厚的厚片）、人参、羌活、白术（土炒）、蛤粉，以上各等分。制法：将上述药材研成细末，混合均匀备用。使用时，将药物铺在荷叶上，厚度如铜钱般，再铺一层羊肝，包裹固定，外层用新的青布包裹，蒸熟后，让患儿食用。
若患儿不肯吃，或者夏季担心食物腐坏，则将药与肝晒干研末，早晚用白开水调服。服完后再重新制作，以见效为好。若患儿体内有热，可减少人参用量。
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疳证门
Heat from Gan syndrome (Gan accumulation disease) attacks the eyes upward, resulting in Eye Gan. During an episode, the eyelids are itchy and dry, the sclera is red and ulcerated, and the eyelids are swollen and painful. A nebula forms on the sclera, gradually covering the pupil, causing tearing, photophobia, and an inability to open the eyes.
Shujie Xiegan San (Draining Liver Powder for Dispersing and Resolving) is most effective for this condition; Qingre Tuiyi Tang (Clearing Heat and Removing Nebula Decoction) is potent for eliminating cloudiness. If the condition persists for a long time without improvement, nourishing methods should be employed, selecting either Xiaoyao San (Free and Easy Wanderer Powder) or Xiegan San (Draining Liver Powder).
[Note]
Eye Gan refers to heat from Gan attacking the eyes. Therefore, upon onset, symptoms include itching and dryness of the eyelids, redness and ulceration, swelling and pain of the eyelids, formation of nebulae on the sclera that gradually obscure vision, frequent tearing, photophobia, and closing of the eyes. Initially, Xiegan San should be used to disperse and clear the pathogen, followed by Qingre Tuiyi Tang to eliminate the nebula. If the condition does not improve after a long duration, the treatment method should shift to regulating and tonifying, using Xiaoyao San, or primarily treating with Yanggan San (Sheep Liver Powder).
(Xiegan San / Draining Liver Powder) Ingredients: Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Lianqiao Forsythiae Fructus (heart removed), Zhizi Gardeniae Fructus (raw), Longdancao Gentianae Radix et Rhizoma, Dahuang Rheum Palmati Radix et Rhizoma, Qianghuo Notopterygii Rhizoma et Radix, Gancao Glycyrrhizae Radix et Rhizoma (raw), Fangfeng Saposhnikoviae Radix. Administration: Use Dengxincao Junci Medulla as a guide, decoct in water and take orally.
(Fangge / Formula Song)
Xiegan San treats liver heat congestion, containing Shengdi, Danggui, Chishao, and Chuanxiong, along with Lianqiao, Zhizi, Longdancao, Dahuang, Qianghuo, Gancao, and Fangfeng.
(Qingre Tuiyi Tang / Clearing Heat and Removing Nebula Decoction) Ingredients: Zhizi Gardeniae Fructus (lightly stir-fried), Huhuanglian Coptidis Rhizoma, Muzeicao Equiseti Herba, Shengdi Rehmanniae Radix, Lingyangjiao Saigai Tatarinae Cornu, Longdancao Gentianae Radix et Rhizoma, Yinchaihu Bupleuri Radix, Chantui Bombycis Cicadae Periostracum, Chishao Paeoniae Radix Rubra, Gancao Glycyrrhizae Radix et Rhizoma (raw), Juhua Chrysanthemi Flos, Jili Tribuli Fructus. Administration: Use Dengxincao Junci Medulla as a guide, decoct in water and take orally.
(Fangge / Formula Song)
Qingre Tuiyi Tang eliminates cloudiness, containing Zhilian, Muzei, Shaodi, and Shengdi, as well as Lingyang, Longdan, Yinchaihu, Chantui, Gancao, Juhua, and Jili.
(Xiaoyao San / Free and Easy Wanderer Powder) See the section on Liver Gan.
(Yanggan San / Sheep Liver Powder) Ingredients: One fresh sheep liver (remove fascia, cut into thick slices resembling leek leaves), Renshen Ginseng Radix et Rhizoma, Qianghuo Notopterygii Rhizoma et Radix, Baizhu Atractodis Macrocephalae Rhizoma (stir-fried with soil), Gafen Arcae Concha, all in equal proportions. Preparation: Grind the above ingredients into a fine powder and mix evenly. To use, place the powder on a lotus leaf in a layer as thick as a coin, then place a layer of liver on top, wrap securely, and further wrap in new green cloth. Steam until cooked. Allow the child to eat it.
If the child refuses to eat, or if there is concern about spoilage in summer, dry the mixture and grind it into powder. Take orally mixed with warm water morning and evening. Prepare another batch after finishing one, continuing until recovery. Reduce the dosage of Renshen if heat signs are present.
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Section on Gan Syndrome